Healthcare continues to be a growing cost for the average American as well as the average employer. Employers on average according to a latest poll are paying around $13,000 an employee a year. With the cost continuing to rise, it is becoming more and more expensive to give people the basic care they need. With healthcare such a huge issue in the 2020 election, it will be interesting to see who has the solutions and who does not to combat this ever growing national issue.
The article, “Companies Move to Limit Employees’ Health Costs: bt David McCann looks at some statistics illustrating the growing problem with healthcare costs. He states,
“The average total health benefit cost per employee grew 3.0% to reach $13,046, following a rise of 3.6% in 2018. This is the eighth consecutive year of health benefit cost growth in the low single digits, and employers expect the cost to rise at a similar pace next year. Still, cost increases continue to outpace overall inflation.”
Service of care should not be the main contributor of reimbursement but quality of that service. Overall population health, patient experience and patient care that reduces unnecessary stay and services are all critical elements.
The article, “Improve patient care – aim for the Triple” by Phillip Gratzel von Gratz looks at the triple aim of patient experience and health. He states,
“There is a broad consensus around the world that healthcare reimbursement should at least partly be based on performance and outcomes and not exclusively on service provision. This is mostly a theoretical consensus though”
Please also review our Healthcare Case Management Program and see if it meets your academic and professional needs. Healthcare Case Managers need to understand the value of patient care in regards to quality and also cost effective ways to treat patients.
Maximizing efficiency is a key element of case management, especially healthcare case management. Results with better health is superior to paper work.
The article, “Four Ways to Empower Your Care Managers to Focus on Results, Not Paperwork” sponsored by HMS and Fierce Health Care states,
“Today’s care managers face a variety of challenges with many handling a higher volume of complex patient cases than ever before. At the same time, value-based care delivery and reimbursement models demand that care managers keep a close eye on healthcare costs while still managing their day-to-day.”
Technology is important in healthcare but without trained professionals using it, it has no value. This is why it is so important to have good, trained and caring professionals behind all technology. Only with both, can healthcare make a difference
This is especially true with chronic pain management. The article, “When it comes to chronic care management, tech can’t replace people” by ERIN DIETSCHE states,
“Technology has become increasingly common in the healthcare arena. The story isn’t any different in the chronic care management space, as companies like Livongo and Omada Health leverage tech to assist patients. But a new survey found humans are just as important as trendy IT tools.”
With higher and higher drug prices, who is really to blame? It is hard to tell sometimes but the article below looks to answer why these prices continue to seem to increase.
The article,”High drug prices: Who’s really to blame?” by Susan Morse states,
Reaction to the proposal has varied. America’s Health Insurance Plans and pharmacy benefit managers say it’s the drug manufacturers that set the prices, and it’s hard not to point the blame at pharmaceutical companies when prices for orphan drugs to treat rare diseases have sometimes increased by thousands of dollars, for no obviously perceivable reason.
Good article on value based care and how it can help drive preventative care. In fact, patients in a value based care model benefit greatly in preventative care practices. Through various models, education and teaching can help patients understand their own diagnosis and recovery to prevent future issues. This type of model is very beneficial to any organization and it is of no wonder that these value based care models correlate with better preventative care with patients.
The article, “Value-Based Care Drives Preventive Care, Care Management” by Sarah Heath explores this reality and delves into greater detail how value based care models are very beneficial for patients. The article states,
Patients receiving care from a doctor in a value-based care model tend to experience better quality care, receive more preventive care, and yield higher medication adherence and adherence to chronic disease management plans, according to a new report from Humana.
A certified Case Manager also is well versed in these areas of study and makes an excellent candidate to help implement various value based care models. Pleas also review our Healthcare Case Management Program to see if it matches any of your academic or professional needs. By taking the core courses in Case Management, qualified professionals can earn a certification in Case Management with AIHCP and apply the skills to their profession.
As long as readmissions are high, the cost of healthcare will be high, so it is important to reduce readmissions for this financial purpose alone, but also for the overall health and recovery of the patient which can be lost in the game of cents and dollars
Medicaid can be a life line for some who are to ill and sick to have any other type of coverage. This article looks at an individual case. Please also review our Healthcare Case Management Program
The article, Living and Dying on Medicaid, by Libby Watson states,
“Todd Mouw, a 53 year old man who lived in Iowa, died on July 8. He was married to Cyndi Mouw; he helped organize meals for needy people in his county with his family; and he was a quadriplegic, paralyzed 32 years ago after an accident. He couldn’t breathe on his own and needed round-the-clock care, but he lived for years and years at home, with care workers provided by Medicaid, until that care was slowly taken away by the for-profit company that has run his plan in Iowa since 2016.”
Good article on the importance of healthcare professionals seeing healthcare as more than just medicine but also education. This is especially true in healthcare administration as countries continue to grow and their healthcare systems need educated administrators.
The article, Education: Healthcare is much more than just medicine, by Pradeep Panda states,
“According to the Asian Development Bank, not only is India bound to possess the world’s largest workforce by 2027, it is also projected to sustain its impressive GDP growth rate of 7.6%.”
Good article for healthcare professionals and the latest problems with healthcare and our financial situation
The article, The real reason health care is bankrupting America, by Dr. Kenneth L. Davis states
“The United States spends far more on health care than any other nation on the globe: $10,348 per person, which amounts to nearly 18 percent of gross domestic product. That is eight percentage points above the average of the industrialized member nations of the Organization for Economic Co-Operation and Development.”
The program is online, self study and independent with courses that lead to a four year certification. Nurses and other healthcare professionals may enter and begin to an exciting career as a certified Case Manager.